Publications by authors named "Justin Ma"

Aim: To review the clinical characteristics and long-term outcomes of paediatric kidney transplants in Hong Kong.

Method: A retrospective cohort study was carried out on all paediatric kidney transplant recipients managed in the Paediatric Nephrology Centre in Hong Kong from 2009 to 2020. All recipients were under 21 at the time of transplant, with a minimal follow-up period of 2 years.

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Background: This study aimed to evaluate the incidence, contributing factors, and clinical outcomes of acquired cystic kidney disease (ACKD) in children undergoing kidney replacement therapy (KRT).

Methods: We conducted a cross-sectional, territory-wide study at the designated pediatric nephrology center in Hong Kong. ACKD was defined as the presence of ≥ 3 cysts in the native kidneys, excluding congenital or hereditary cystic diseases.

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Article Synopsis
  • Rare cell populations are hard to study with traditional single-cell RNA sequencing (scRNA-seq) because they often require pooling from different samples, which loses valuable origin and phenotype information.
  • To tackle this issue, researchers have developed a technique called sample multiplexing, using unique sequence barcodes for each sample to analyze them simultaneously without losing data quality.
  • The study focuses on mouse retinal ganglion cells, utilizing this multiplexing approach to improve accuracy in tracking cell types and gene expression variability, and also helps identify multiplets in samples that lack specific labeling.
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  • Frontotemporal dementia (FTD) is a neurodegenerative disorder affecting brain areas linked to cognition and personality, and this study aimed to explore retinal and choroidal changes in FTD patients compared to cognitively normal individuals using specialized imaging techniques.
  • The study involved analyzing various retinal imaging parameters in 19 FTD patients and 48 control participants, using methods like optical coherence tomography (OCT) and OCT angiography (OCTA) to assess differences in retinal tissue and blood flow.
  • Results indicated significant reductions in macular perfusion density and vessel density in FTD patients, suggesting that retinal changes could serve as potential biomarkers for early detection of FTD, warranting further research using noninvasive imaging techniques.
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Single-cell RNA sequencing (scRNA-seq) has advanced our understanding of cellular heterogeneity by characterizing cell types across tissues and species. While several mouse retinal scRNA-seq datasets exist, each dataset is either limited in cell numbers or focused on specific cell classes, thereby hindering comprehensive gene expression analysis across all retina types. To fill the gap, we generated the largest retinal scRNA-seq dataset to date, comprising approximately 190,000 single cells from C57BL/6J mouse retinas, enriched for rare population cells via antibody-based magnetic cell sorting.

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Rare cell populations can be challenging to characterize using microfluidic single-cell RNA sequencing (scRNA-seq) platforms. Typically, the population of interest must be enriched and pooled from multiple biological specimens for efficient collection. However, these practices preclude the resolution of sample origin together with phenotypic data and are problematic in experiments in which biological or technical variation is expected to be high (e.

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  • Continuum dexterous manipulators (CDMs) are highly maneuverable tools ideal for tasks in tight spaces, such as minimally invasive surgery, but controlling their shape in real-time during bending is challenging.
  • A new design featuring a large deflection fiber Bragg grating (FBG) shape sensor embedded in CDMs has been created to enhance shape-sensing capabilities using multiple fibers and nodes.
  • Experimental results showed strong accuracy in shape reconstruction and tracking, indicating the FBG sensor's effectiveness for practical applications in orthopedic surgery.
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We analyzed multimodal retinal and choroidal imaging, including optical coherence tomography (OCT) and OCT angiography (OCTA), to assess differences and characterize variations in the retinal and choroidal structure and microvasculature between healthy monozygotic twins without ocular or systemic pathology over a five-year period. Retinal imaging of both subjects revealed normal age-related changes. There was up to an 11% difference in OCT and OCTA variables within the subjects, both at baseline and at five years, and there was up to an 18% difference in OCT and OCTA parameters between the subjects for both time points.

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Objective: This study aimed to identify peripapillary microvascular changes in Alzheimer's disease (AD) and mild cognitive impairment (MCI).

Patients And Methods: In this prospective study, 66 eyes of 36 subjects with AD, 119 eyes of 63 with MCI, and 513 eyes of 265 controls with normal cognition were enrolled. Peripapillary capillary perfusion density (CPD), capillary flux index (CFI), and retinal nerve fiber layer (RNFL) thickness were determined.

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Single-cell RNA sequencing (scRNA-seq) has advanced our understanding of cellular heterogeneity at the single-cell resolution by classifying and characterizing cell types in multiple tissues and species. While several mouse retinal scRNA-seq reference datasets have been published, each dataset either has a relatively small number of cells or is focused on specific cell classes, and thus is suboptimal for assessing gene expression patterns across all retina types at the same time. To establish a unified and comprehensive reference for the mouse retina, we first generated the largest retinal scRNA-seq dataset to date, comprising approximately 190,000 single cells from C57BL/6J mouse whole retinas.

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Article Synopsis
  • The study aimed to analyze changes in retinal and choroidal structures among patients with Huntington's Disease (HD) who possess the mutant huntingtin protein gene (mHtt) compared to healthy individuals.
  • It involved a cross-sectional comparison between symptomatic HD patients and cognitively normal controls using advanced imaging techniques to assess various retinal metrics.
  • Findings revealed that HD patients had significantly reduced ganglion cell-inner plexiform layer (GCIPL) thickness and smaller foveal avascular zone (FAZ) area, suggesting that retinal changes could serve as biomarkers for neurodegeneration in HD.
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Purpose: To investigate retinal vascular characteristics using ultra-widefield (UWF) scanning laser ophthalmoscopy in Parkinson disease (PD).

Methods: Individuals with an expert-confirmed clinical diagnosis of PD and controls with normal cognition without PD underwent Optos California UWF imaging. Patients with diabetes, uncontrolled hypertension, glaucoma, dementia, other movement disorders, or known retinal or optic nerve pathology were excluded.

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To evaluate the retinal and choroidal microvasculature and structure in individuals with dementia with Lewy bodies (DLB) compared with controls with normal cognition using optical coherence tomography (OCT) and OCT angiography (OCTA). An institutional review board-approved cross-sectional comparison of patients with DLB and cognitively normal controls was performed. The Cirrus HD-OCT 5000 with AngioPlex (Carl Zeiss Meditec) was used to obtain OCT and OCTA images.

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Purpose: To quantify rate of change of retinal microvascular and choroidal structural parameters in subjects with Parkinson's disease (PD) compared with controls using OCT and OCT angiography (OCTA).

Design: Prospective longitudinal study.

Participants: Seventy-four eyes of 40 participants with PD and 149 eyes of 78 control individuals from the Eye Multimodal Imaging in Neurodegenerative Disease database.

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To report 3 cases of autoimmune retinopathy (AIR) in patients with systemic lupus erythematosus (SLE) to explore the association between these conditions and highlight additional clinical consideration of AIR in patients presenting with atypical retinopathy in the context of hydroxychloroquine use. The medical and clinical follow-up records of 3 clinical cases were reviewed. The eligibility criteria were the absence of other retinopathy or systemic autoimmune diseases.

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Article Synopsis
  • The study aimed to create a machine learning tool that can distinguish between normal cognitive eyes and those with mild cognitive impairment (MCI) using OCT and OCT angiography (OCTA) images.
  • A convolutional neural network (CNN) was developed to analyze various eye imaging data, achieving a strong performance with an area under the curve (AUC) of 0.809, indicating good sensitivity (79%) and specificity (83%) in identifying MCI.
  • The results suggested that the thickness maps of the ganglion cell-inner plexiform layer (GC-IPL) were more effective for diagnosis compared to OCTA images, emphasizing the importance of image-based data over demographic information for accurate MCI prediction.
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We present an autonomous robotic spine needle injection system using fluoroscopic image-based navigation. Our system includes patient-specific planning, intra-operative image-based 2D/3D registration and navigation, and automatic robot-guided needle injection. We performed intensive simulation studies to validate the registration accuracy.

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Article Synopsis
  • The study aimed to evaluate the repeatability of macular OCT angiography (OCTA) parameters among patients with Alzheimer's disease, mild cognitive impairment, Parkinson's disease, and individuals with normal cognition.
  • Using high-resolution imaging equipment, researchers measured metrics like perfusion density and vessel density from both 3 mm and 6 mm scans centered on the fovea.
  • Results indicated that OCTA metrics showed moderate to good repeatability across all groups, with no significant differences in repeatability between normal cognition and neurodegenerative disease participants.
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Purpose: Retinal microvascular abnormalities measured on retinal images are a potential source of prognostic biomarkers of vascular changes in the neurodegenerating brain. We assessed the presence of these abnormalities in Alzheimer's dementia and mild cognitive impairment (MCI) using ultra-widefield (UWF) retinal imaging.

Methods: UWF images from 103 participants (28 with Alzheimer's dementia, 30 with MCI, and 45 with normal cognition) underwent analysis to quantify measures of retinal vascular branching complexity, width, and tortuosity.

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Purpose: To assess the repeatability of peripapillary OCT angiography (OCTA) in those with Alzheimer disease (AD), mild cognitive impairment (MCI), Parkinson disease (PD), or normal cognition.

Design: Cross-sectional.

Participants: Patients with a clinical diagnosis of AD, MCI, PD, or normal cognition were imaged.

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Purpose: To assess retinal microvascular alterations in individuals with amnestic mild cognitive impairment (MCI) and nonamnestic MCI.

Methods: One hundred twelve eyes of 59 amnestic MCI participants, 32 eyes of 17 nonamnestic MCI participants, and 111 eyes of 56 controls with normal cognition were included. Optical coherence tomography angiography vessel density and perfusion density in the Early Treatment Diabetic Retinopathy Study 3-mm circle and ring were assessed.

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Study Design: Phantom study.

Objective: The aim of our study is to demonstrate in a proof-of-concept model whether the use of a marker less autonomous robotic controlled injection delivery system will increase accuracy in the lumbar spine.

Methods: Ideal transforaminal epidural injection trajectories (bilateral L2/3, L3/4, L4/5, L5/S1 and S1) were planned out on a virtual pre-operative planning software by 1 experienced provider.

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Purpose: To assess the baseline differences and longitudinal rate of change in retinal and choroidal imaging parameters between apolipoprotein ε4 (APOE ε4) carriers and noncarriers with normal cognition.

Design: Prospective study.

Subjects: Four hundred thirteen eyes of 218 individuals with normal cognition aged ≥ 55 years with known APOE status (98 APOE ε4 carriers and 120 noncarriers).

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During development, cells aggregate at tissue boundaries to form normal tissue architecture of organs. However, how cells are segregated into tissue precursors remains largely unknown. Cornea development is a perfect example of this process whereby neural crest cells aggregate in the periocular region prior to their migration and differentiation into corneal cells.

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